Page 2 of 2 high results there can be several reasons for your red blood cells being too high, including dehydration and smoking. Hemoglobin, hematocrit and wbc are just the beginningdont overlook erythrocytes, leukocytes and thrombocytes for important assessment data. It is an inexpensive and important screening test that provides a wealth of diagnostic information. Always wear gloves whilst messing about with another persons pee.
Juretschke, phd, rncnpt, apnnnpbc, ccns founderpresident, nicu solutions, inc. Urinalysis interpretation agency for clinical innovation. Understanding your complete blood count results nz healthinfo reference. The cbc includes a number of different determinations, including the number, type, percentage, concentration, and quality of blood cells. Most of us are well acquainted with hemoglobin, hematocrit and white blood cells wbc, but perhaps the.
Patient education 4 understanding your complete blood count never swim in lakes, ponds, rivers, or oceans. Interpreting the complete blood count and differential. Academy of acute care physical therapy apta task force. Use the drop down menu below to jump to a specific section. A complete blood count cbc is a test that counts the cells that make up your blood. This book should be of help to nursing in understanding some of the more common tests which are conducted. Interpretation of clinical laboratory tests date qy p or too high due to improper timing acetaminophen toxicity false interpretation if drawn too soon or too late digoxin level 12 hours to distribute into tissues false high if drawn too soon not waiting long enough post fatty meal to perform bs, triglycerides, cholesterol levels. Identify laboratory values for abgs ph, po2, pco2, sao2, hco3, bun, cholesterol total glucose, hematocrit, hemoglobin, glycosylated. In most cases, the cbc is done using an automated hematology analyzer, which. If you want to swim, talk it over with your doctor or nurse first and swim only in a pool thats treated with chlorine to kill germs. Lab test are integral to patient care and depend on cooperation and support of ward staff for accurate and timely interpretation of the results. Abc of cbc 1st edition pdf, abc of cbc 1st edition free download, abc of cbc 1st edition ebook, free medical books, medical, medical books free download, medical books, free medical, medical dental books, nursing books, free ebook download, medical textbook, books for medical students. The task force consisted of physical therapists from across the country in various acute care settings. An increase in clotting of blood or a decrease in clotting ability will be considered the two main problems of coagulation of the blood.
The fraction of the blood composed of red blood cells hematocrit the mean corpuscular volume mcv the size of the red blood cells. That aptly applies to interpreting the complete blood count cbc and differential diff. Interpreting chemistry and hematology for adult patients. The complete blood cell count cbc with platelet count and differential count is. Laboratory tests interpretation nurses learning network. Blood loss can present with or without a change in the hgb and hct. Discuss normal values, causes and implications of increase and decrease. Sharpen your pediatric laboratory interpretation skills. Drugs that may cause decreased iron levels include adrenocorticotropic hormone, cholestyramine, colchicine, deferoxamine, and testosterone drugs that may cause increased iron levels include dextrans, ethanol, estrogens, iron preparations, methyldopa, and oral contraceptives. Manual methods using the hemocytometer have been universally replaced by. The cbc is a group of mostly interrelated tests that is meant to be examined as a whole and then correlated with the clinical picture. A complete blood count cbc is a blood test used to assess a patients general healthiness. Understanding the complete blood count cbc and common. Recent intake of a meal containing high iron content may affect the results.
This is in addition to requiring the biometric cbc. Complete blood count using hmx nhanes 20072008 complete blood count cbc perform a complete blood count cbc in duplicate on all survey participants age 1 and older. Kim graduated with a nursing diploma from foothills hospital school of nursing in calgary, alberta in 1989. An infection can occur with a high wbc or a low one.
Cbc upholds an environment of diversity, fairness, equity, and sustainability, providing opportunities for the people of benton and franklin counties to succeed in their pursuit of higher educational achievement, meaningful employment, and basic skills development, while promoting cultural enrichment and wellbeing for its community. She achieved her bachelor in nursing through athabasca university, alberta in 2000, and her master of science in nursing through university of phoenix in 2005. Components of cbc main protein is hemoglobin hgb rbc function is to protect hgb hgb function is oxygenco2 transport 6 kenner, c. Since sodium is reported per liter of plasma water, when a sodium value is abnormal, you must determine if it is the sodium that is altered or the bodys water content is altered traub, 1996. List 8 tests included as part of the complete blood count. Interpretation what i am looking for is a word or words to classify the. Based on practitioners feedback, this document was adapted to improve usability in the busy acute care setting. The primary points of interest in the cbc are often whether a patient is anaemic, whether the white count shows evidence of infection and whether the platelets are at a level that may affect haemostasis. Laboratory procedure manual centers for disease control.
Hb is the protein which carries oxygen in the blood and, hence, is the most important value to look at. It can help to serve as a screening test for many disorders and as a prognostic or follow up tool. Pdf interpreting laboratory values in older adults. Apply manual pressure and dressings over puncture site on removal of dinner. Complete blood count using hmx nhanes 20112012 4 the coulter hmx hematology analyzer is a quantitative, automated hematology analyzers and leukocyte differential cell counters for in vitro diagnostic use in clinical laboratories. A complete blood count cbc is a group of tests used for basic screening purposes. Hemoglobin in blood is measured in grams per one deciliter of whole blood and is expressed as gdl mmoll on the cbc. Nursing implications related to clotting studies are numerous. The complete blood count and associated tests purpose. Basic laboratory tests complete blood counts cbc test alternative names units usual normal range examples of conditions in which abnormal values occur hemoglobin hb or hgb gdl males. The complete blood count cbc is the most frequently requested blood test in new zealand. Fluid and electrolytes easy memorization tricks for nursing nclex rn. Though sometimes underused, the results of a complete blood count cbc can provide important information to the healthcare professional. Interpretation of the full blood count red blood cells constituents of the red cell count haemoglobin hb.
Complete blood count a complete blood count cbc is an important and readily available investigation that focuses on red blood cells, white blood cells and platelets, and their various parameters. Pediatric complete blood count cbc, differential, and absolute neutrophil count anc louise jakubik, phd, rnbc, csp pediatric nursing annual conference 2018 learning objectives at the completion of this. Interpreting the complete blood count and differential elite learning. Measures essential components of the blood substance what it is reference ranges what a low number may mean what a high number may mean usa ukeu australiacanada white blood cell count wbc measures the total number of white blood cells, which defend the body. It is probably the most widely ordered laboratory test. Laboratory and diagnostic tests with nursing implications. Your doctor may order a cbc as part of a routine checkup or to. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only.
Guidelines for neonatal healthcare providers 5th edition. Parameters measured as part of the cbc determine the number, type, percentage, concentration, and quality of various blood cells. Nice to know this module uses some terminology that you should familiarize yourself with. Good lab results begin with proper collection of specimens and labeling. Lab values and their meanings forward the laboratory services are very pleased to see this report. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. The cbc and differential count diff are a series of tests of the peripheral blood that provide a. This way, interpretation of abnormal sodium values focus on determining the cause of abnormal water volume. For example if you observe a decreased wbc value, the term leukopenia is the interpretation.
Care nursing and is currently pursuing her phd in nursing. A complete blood count cbc is a series of tests used to evaluate the composition and. Complete blood count cbc test result interpretation explained for nursing exams and nclex. Immerse the dipstick completely in the specimen of. That aptly applies to interpreting the complete blood count cbc and differential. Interpretation of the results of the differential must always be done with the total number of wbcs in mind. This page contains the complete complete blood count nursing lecture e. Cbc overview the complete blood count cbc is one of the most frequently ordered screening laboratory tests. Two conditions that can be identified by evaluating the rbc count are anemia and polycythemia. Those dipsticks make a pretty good catapult for drops of eyeballseeking urine. In this section of the nclexrn examination, you will be expected to demonstrate your knowledge and skills of laboratory values in order to. Understanding the components of the blood test and the factors that influence each level will help the provider in determining if anemia is present and in identifying the type of anemia iron deficiency anemia, vitamin b12 deficiency anemia, or folic acid.
Anemia is a deficiency in the concentration of erythrocytes and hemoglo bin in the blood. A complete blood count cbc is a series of tests used to evaluate the composition and concentration of the cellular components of blood. Neonatal nurse practitioner the ronald mcdonald childrens hospital at loyola university medical center objectives at. Mosbys manual of diagnostic and laboratory tests, 2nd edition. Bands immature also metamyelocytes, myelocytes, promyelocytes, monoblasts segmented neutrophils mature left shift bandemia indicates possible bacterial infection i. The application in accordance with the ncsbn uniform licensure requirements ulrs, all applications for nursing licensure should include a question asking the applicant about any past criminal history.
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